Katherine Gavin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT003435 Issued in GA

Practice address

818 Church St NE
Marietta, GA 30060-8969

Phone

(770) 792-5284

Fax

(770) 792-1513

NPI assigned

Dec 20, 2012

Last updated

Jan 14, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellstar Health Ventures, LLC

  dba WellStar OrthoSport

  • Physical Therapy Clinic/Center
  • Kennesaw, GA
  • NPI 1932486131
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1093051070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SANDY PLAINS RD",
            "address_2": "ATTEN: REVENUE MANGEMENT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666340",
            "telephone_number": "770-792-5284",
            "fax_number": "770-792-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608969",
            "telephone_number": "770-792-5284",
            "fax_number": "770-792-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "KATHERINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT003435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanesha Gatewood
• Anthony J Gatti, DPM
• Gauld Health (Gauld Foot and Ankle)
• Alisha Gaulden, DC
• Alisha Gavin, RBT
• Monique D Gay, HAIR LOSS SPECIALIST
• Sarah Preston Gaylord, MS, LAT-ATC
• Amy Lemoyne Gaynor, NP
• Anna-Marie Gazzo
• Kiayra Geary, RN

• Physical Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.